Wagih Abdelmalak Elsewafy, M.D.
Individual provider Active NPI Psychiatry Physician · Santa Clarita, CA
NPI 1679604235 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1679604235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A056248 (CA)
- Practice address
- 23501 Cinema Dr Ste 200
Santa Clarita, CA 91355-5430 - Phone
- (661) 288-4800
- Fax
- (661) 254-3094
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Los Angeles County Department of Mental Health
Alma Family Services
Practice addresses (Care Compare)
23501 Cinema Dr
Suite 210
Valencia, CA 91355-5430
Phone (661) 288-4800
9101 Whittier Blvd
Pico Rivera, CA 90660-2405
Phone (562) 801-4626
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000644 | CA | Practitioner - Psychiatry | 8224107594 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A056248 | CA | MD | Psychiatry Physician |
| A56248 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current |
Accepting new patients | |
| Alma Family Services | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current |
Accepting new patients | |
| Alma Family Services | Current |
Accepting new patients | |
| Enki Health Services, Inc. | Current |
Accepting new patients | |
| Enki Health Services, Inc. | Current |
Accepting new patients | |
| Alma Family Services | Current |
Accepting new patients | |
| Enki Health Services, Inc. | Current | Accepting new patients | |
| Alma Family Services | Past | Accepting new patients |
Locations
6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000
150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899
1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337
10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837
160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
4701 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 267-3400
900 Corporate Center Dr
Ste 350
Monterey Park, CA 91754
2260 E Palmdale Blvd
Ste J
Palmdale, CA 93550
Phone (661) 575-1800
9101 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 801-4626
23501 Cinema Dr
Ste 210
Valencia, CA 91355
Phone (661) 288-4800
23501 Cinema Dr
Ste 200
Valencia, CA 91355
Phone (661) 288-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A56248 | CA | |
| Psychiatry Physician | 2084P0800X | A056248 | CA | Yes |
Addresses
Primary practice location
23501 Cinema Dr Ste 200
Santa Clarita, CA 91355-5430
Mailing address
23501 Cinema Drive
Suit 200
Santa Clarita, CA 91355-5622
Phone (661) 288-4800
Other practice location 1
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone (951) 222-7840
Other providers in Santa Clarita, CA
- Elevated Behavioral Therapy Services, Inc.
- Elevated Performance Physical Therapy
- Elite Diagnostics Medical Corporation
- Elizabeth S. Fowler, M.a. CCC-SLP
- Amanda Ellis
- Kahira Embry
- Makenna Kai Emerick
- Lisa Marie Emmons
- Empathy Care Home Health Inc
- Megan Empero
All providers in Santa Clarita, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.